Membership Category*Adult MembershipJuvenile MembershipBothWhat category of membership are you paying for today?Name*The adults full name First Last Phone*Email*The adults email address Address*Date Of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Member IDAdult Membership*Full (€100)Social (€80)Student (€75)Full/Social OAP (€30)Choose what category of adult membership you fall in it.Student Card*Please upload an image of your student card.Juvenile Membership*Child X 1 (€60)Child X 2 (€100)Child X 3+ (€130)Details*NameDOBSchoolClass Please add details for each juvenile you're registeringSign me up as a website userYesNoWe'll register you as a member of the O'Tooles GAC website. You'll be emailed your login details. Logged in members can participate in community groups, view secure club areas plus many more upcoming features which we will notify you about as that become active.Payment Total € 0.00 This is the total amount that will be debited from your card.Credit Card*MasterCardVisaMaestro Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name Consent* I agree to O’Tooles GAA policies- I hereby apply to O’Tooles GAA ("the Club") for membership of the Club and the Association. - I subscribe to and undertake to further the aims and objectives of O’Tooles GAA Club and of Cumann Luthchleas Gael (The Gaelic Athletic Association) and to abide by its rules which can be found here: https://www.gaa.ie/the-gaa/rules-regulations/ - I understand that the personal data on this form ("Personal Data") will be used by the club and the GAA for the contractual purpose of registering and maintaining my Membership. - I understand that the Personal Data will be retained by the club and the GAA for such period as my Membership subsists. - I understand that I can resign my Membership by writing to the club or the GAA and my Personal Data will be erased. - I understand that my Personal Data will also be used for administration purposes to maintain my membership including club and team administration, registrations, teamsheets, referee reports, disciplinary matters, Injury Reports, transfers, sanctions, permits and for statistical purposes. - I understand that if I do not provide my Personal Data my Membership cannot be registered with the Club and the GAA. - I give permission for the club to provide me with updates regarding club activities such as matches, meetings, club events, ticket sales, social occasions and other club events. - I am aware that my photograph or video image may be taken whilst attending or participating in games or activities connected to the club and I consent to it being used by the Club for items like match reports, event reports on the Club Website or Social Media. - I understand that I can withdraw my consent at any time by writing to the Club.CAPTCHAEmailThis field is for validation purposes and should be left unchanged.